Individual provider Active NPI

Melina Renee Sanders, FNP

  • Family Nurse Practitioner
  • Monroe, GA
National Provider Identifier
1003374885
Registry record updated Oct 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN248368 Issued in GA
Practice address
2151 W Spring St
Monroe, GA 30655-3202
Phone
(770) 267-8461
NPI assigned
Mar 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN248368 GA Primary

Addresses

Primary practice location

2151 W Spring St
Monroe, GA 30655-3202

Mailing address

3360 Stewart Lake Rd
Monroe, GA 30655-5742
Phone (404) 372-8744

Other names 1

  • Melina Renee Sanders Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190618000840 GA Practitioner - Nurse Practitioner 5698008068 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Jun 1, 2019 Accepting new patients
Hardy Renew Wellness,LLC CurrentSince Jan 20, 2025 Accepting new patients
Transitional Care Physicians of Georgia PC CurrentSince Sep 20, 2021 Accepting new patients
Georgia Mso LLC CurrentSince Apr 15, 2025 Accepting new patients
Chronic Disease Management of Georgia, LLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

1640 Powers Ferry Rd SE
Bldg 15
Marietta, GA 30067
Phone (770) 722-9595

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

704 Breedlove Dr
#A
Monroe, GA 30655
Phone (888) 772-0076

501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571961600000",
    "number": "1003374885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 STEWART LAKE RD",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306555742",
            "telephone_number": "404-372-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 W SPRING ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306553202",
            "telephone_number": "770-267-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "MELINA",
        "middle_name": "RENEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN248368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELINA",
            "last_name": "SANDERS",
            "middle_name": "RENEE",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monroe, GA

Sources for this page

Verify at the official NPI Registry.